Medical Guide Research Articles

A Medical Students Guide to Paediatrics

A Medical Students Guide to Paediatrics

The Medical Student Guide to Pharmacy: Piloting an Interactive Textbook on Basic Pharmacology Principles and Clinical Correlations.

Despite the wide use of medications in clinical practice, graduating medical students often feel unprepared for the task of prescribing upon starting residency. With recent educational initiatives aiming to transform learning modalities, we sought to pilot an interactive textbook on basic pharmacology principles at our institution as a supplement to first-year lectures and assess its subjective impact on students' knowledge of content as well as confidence to apply material in the real world through pre- and post-intervention surveys. First-year medical students were invited to complete non-validated, voluntary, anonymous, emailed, online surveys consisting of Likert scale and free-text response questions. Our investigation served as a pilot test for future iterations of this research. Response rates for the pre- and post-intervention surveys were 73/145 (50%) and 38/145 (26%), respectively, with the post-intervention survey further reduced to 13 individuals who indicated use of the interactive textbook. Questions regarding interactive textbook chapters that overlapped with course content were excluded from data analysis due to an inability to separate learning gains from lectures versus the interactive textbook. Post-intervention survey responses all showed significant changes in mean Likert scale scores on student-perceived knowledge and confidence to apply material with P < .001. Free-text response questions revealed limited exposure to the field of pharmacy and interactions with pharmacists prior to medical school. Our pilot study on the initial use of an interactive textbook titled The Medical Student Guide to Pharmacy presented us with valuable insight into providing first-year medical students with a clinically oriented supplemental resource within coursework on basic pharmacology. Challenges for the future include better integrating the interactive textbook into class lectures to facilitate increased use by students as well as developing more targeted, validated assessments of the impact it has on students' learning.

Superhydrophilic and Antifriction Thin Hydrogel Formed under Mild Conditions for Medical Bare Metal Guide Wires.

Medical guide wires play a crucial role in the process of intravascular interventional therapy. However, it is essential for bare metal guide wires to possess both hydrophilic lubricity and coating durability, avoiding tissue damage caused by friction inside the blood vessel during the interventional procedure. Additionally, it is still a huge challenge for diverse metal materials to bind with polymer coatings easily. Herein, we present a hydrogel coating scheme and its preparation method for various wires under mild conditions for environmental protection purposes. The preparation process involves surface pretreatment, including low-temperature heating and silanization, followed by a two-step dip coating and ultraviolet polymerization. The whole process leads to the formation of an interpenetrating cross-linked hydrogel network from the substrate to the surface section. This study confirms the superhydrophilicity and lubricity of three metal wires with the designed coating, especially reducing the friction significantly by ≥ 95%. The thin coating (average thickness <6.2 μm) demonstrates strong adhesion with various substrates and exhibits resistance to 25 or even 125 cycles of friction, indicating excellent stability and preventing easy detachment. The finally prepared composite nickel-titanium (NiTi) guide wire with stainless steel (SS) and platinum-tungsten (Pt-W) coils (overall diameter of ∼0.36 mm) shows satisfactory performance with a friction of 0.183 N for 25 cycles, meeting the clinical requirements (average friction ≤0.2 N) for interventional operation. These findings highlight the potential of this study in advancing the development of medical devices, particularly in the field of intravascular interventional therapy.

An Electronic Medical Record Pocket Guide for Incoming Internal Medicine Interns: Perceptions and Impact on Patient Information Gathering.

The transition from medical student to intern is associated with a significant increase in workloads and responsibilities. This includes using the electronic medical record (EMR), which can lead to challenges in information gathering and patient care; however, no formal residency interventions exist in the use of an EMR for information gathering, with most EMR training occurring in the clinical setting. The present study aimed to improve information gathering on patient care and enhance the confidence of Internal Medicine interns in information gathering. We performed a pre- and postprospective study in July 2021. All of the Internal Medicine interns at our community hospital were included. A pre- and postassessment to evaluate interns' confidence was distributed to participants during orientation week and at the end of the inpatient Internal Medicine rotation. A pre- and postconfidence assessment was collected at the beginning and end, respectively, of each intern's inpatient Internal Medicine rotation. Seventeen (85%) interns completed both the preassessment and postassessment. Use of an EMR guide led to a significant increase in completeness of patient information gathering (preassessment: 73.2% ± 18.4% vs post-EMR guide: 94.7% ± 7.4%, P < 0.001) and in intern confidence (P = 0.001). The use of an EMR guide was well received among Internal Medicine interns and led to increased completeness in patient information gathering. Residency programs may benefit from developing an EMR guide to improving the transition of interns during residency.

The usefulness and practicality of the International Medical Guide for Ships.

The third edition of the International Medical Guide for Ships (IMGS) was published in 2007 and supported a main principle of the newly adopted International Maritime Labour Convention (MLC) 2006: to ensure that seafarers are given health protection and medical care as comparable as possible to that which is available to workers ashore. In 2021, the revisions and drafting of the fourth edition of the IMGS began. Taking the COVID-19 pandemic into consideration, it was decided that a stakeholder study was necessary to ascertain the usefulness and practicality of the guide as well as provide input for which new topics to include. The study applied data triangulation, with respondents from a geographically broad sample of the International Maritime Organization's five regional areas of the world. The data was analysed using thematic analysis. The results show that the IMGS is widely known and used among persons involved in medical care on board ships, but the IMGS is not as practical as stakeholders would wish it to be. For the guide to be useful, it must be ensured that telemedical advice information is included and if possible, ensure there is one single and global medical guide. Also, there is a need for new medical information, and respondents pointed to pandemic information, medicines list, medical chest, mental health issues, a women's section, updated cardiopulmonary resuscitation instructions, human immune defect virus information (human immune defect-virus) and information on how seafarers may self-monitor and be monitored on board in relation to chronic diseases. Respondents understand a medicine chest on board is mandatory according to the MLC 2006, 98% are familiar with its content, and 86% use the IMGS.

Hospital without Discrimination: A LGBTQ Medical Guide That Will Change The Clinics

Hospital without Discrimination: A LGBTQ Medical Guide That Will Change The Clinics

Approach to Publish Medical LiteratureA Guide for Students in the Field of Healthcare

Significant contributions have been made to the field of medical science by numerous students in the formative stages of their career. While medical research was earlier an exclusive domain of residents and senior doctors, we are now witnessing a positive trend of increasingly more number of undergraduate students indulging in research projects and today, research has become an integral and indispensable component of medical education. While undertaking research activities, it is imperative for young researchers to understand the importance of publishing quality data in journals of repute, without compromising on any aspect of the process

Attempt to Theoretical Analysis on Large Deformations of Medical Guide Wire in Blood Vessels (Innovative Approach based on Nonlinear Theory)

Attempt to Theoretical Analysis on Large Deformations of Medical Guide Wire in Blood Vessels (Innovative Approach based on Nonlinear Theory)

A Medical School Dean's Guide to Orienting Educational Leaders on Roles, Responsibilities, and Resources.

Continuing professional development of physicians often revolves around clinical activities. Accordingly, there is a lack of intentional development and support of medical education leaders despite such individuals having critical influence over key organizational functions. Unequivocally, educational leaders have complex and dynamic jobs that require clear delineation of roles, responsibilities, and resources available to successfully train the next generation of health professionals. Although there is guidance on how to longitudinally onboard medical education leaders, there is little information on how to effectively orient such leaders on the functional nature of their jobs. Baylor College of Medicine's medical school dean developed and delivered a 2-day orientation program to educational leaders to clarify roles, responsibilities, and resources. Postevaluation surveys aimed to identify key session content that would be frequently used by educational leaders to oversee key aspects of medical education. The purpose of this article is to outline the structure and content of an orientation program designed for medical education leaders, and share postevaluation data to identify which sessions were most used in practice. Other deans are encouraged to take ownership over the professional development of their educational leaders and delivering similar programming.

Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service

Introduction The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France. Methods A descriptive study was carried out by retrospectively examining medical records of patients who were assisted by the French maritime TeleMedical Assistance Service (TMAS) from 2012 to 2016. Data were ranked in different categories: socio-demographic data, diagnosis, prescription, and monitoring or treatment prescribed. Results The TMAS recorded 9122 medical files for all medical emergencies. Among these medical records 135 concerned oral diseases. The main causes for dental emergencies are dental abscess (51.8%), tooth decay (33.3%), and dental fracture (8.9%). Even where teledentistry is validated for remote screening and oral lesion diagnosis, management of dental emergencies mostly requires a dental procedure. On board, without special equipment and/or specifically trained healthcare workers, this management often results in the prescription of medication. Discussion The International Medical Guide for Ships published by the World Health Organization could be updated to suit the latest recommendations of dental emergency management. This could facilitate the addition of a medical act to dental management, resulting in more effective treatment. Furthermore, simple and specific equipment could be added to the medical supplies.

English-Arabic Hybrid Machine Translation System using EBMT and Translation Memory

The availability of a machine translation to translate from English-to-Arabic with high accuracy is not available because of the difficult morphology of the Arabic Language. A hybrid machine translation system between Example Based machine translation technique and Translation memory was introduced in this paper. Two datasets have been used in the experiments that were constructed by using internal medicine publications and Worldwide Arabic Medical Translation Guide Common Medical Terms sorted by Arabic. To examine the accuracy of the system constructed four experiments were made using Example Based Machine Translation system in the first, Google Translate in the second and Example Based with Google translate in the third and the fourth is the system proposed using Example Based with Translation memory. The system constructed achieved 77.17 score for the first dataset and 63.85 score for the second which were the highest score using BLEU score.

P1-289 - Comprehensive treatment decision support of more than 1,000 patients by the medical device Molecular Health Guide®

P1-289 - Comprehensive treatment decision support of more than 1,000 patients by the medical device Molecular Health Guide®

Identification of World Health Organisation ship's medicine chest contents by Anatomical Therapeutic Chemical (ATC) classification codes.

Ships should carry mandatory given amounts of medicinal products and basic first aid items, collectively known as the ship's medicine chest. Type and quantities of these products/items are suggested by the World Health Organisation (WHO) and regulated by individual flag states. In countries that lack national legislation, it is assumed that ships should follow WHO indications. An objective difficulty mainly involving vessels of international long-haul routes could be to recognise medicinal compounds obtained in other countries for replacing products used or expired. Language barrier may complicate, if not make it impossible to interpret the name of the medicinal product and/or of the active principle as indicated in a box printed in a completely different language. Handling of the ship's pharmacy may be difficult in case of purchasing of drugs abroad due to language barriers. Medicinal products are identified by the international non-proprietary name of the active principle and/or by their chemical or invented (branded) names. This may make the identification of a medicinal product difficult, primarily if it is purchased abroad and the box and instructions are written in the language of the country where it is marketed. Therefore, there is a simpler classification system of the medicinal compounds the ATC (ATC: Anatomy, Therapeutic properties, Chemical, pharmacological properties). This paper has reviewed the list of medicinal products recommended by WHO and assigned to each one the ATC code as a solution to the problem of medicinal compounds organisation. Two researchers independently examined the list of medicinal compounds indicated in the third edition of the International Medical Guide for Ships and attributed to each compound the ATC code according to the 2013 Guidelines for ATC classification and Defined Daily Dose (DDD) assignment. The ATC code was attributed to the medicinal compounds indicated in the third edition of the International Medical Guide for Ships. The availability of an objective system to identify medicinal products is required for ships, which will contribute in making the identification of items purchased simpler, making it easier to understand which drug seafarers need to be administer, and consequently reduce possible therapeutic mistakes.

Plants from the Brazilian Traditional Medicine: species from the books of the Polish physician Piotr Czerniewicz (Pedro Luiz Napoleão Chernoviz, 1812–1881)

The Brazilian flora is very rich in medicinal plants, and much information about the traditional use of the Brazilian plants is only available from early literature and we are facing a rapid process of loss of biodiversity. To retrieve data about useful plants registered in the books of the Polish physicist P.L.N. Chernoviz, who lived in Brazil for 15 years in the 19th century. The aim is to improve our knowledge about Brazilian plants, and to ensure the benefits of sharing it with potential users. Data about Brazilian plants were obtained from six editions of the book Formulary and Medical Guide (Formulário e Guia Médico), published in 1864, 1874, 1888, 1892, 1897 and 1920. All this information was then organized in boxes, and correlated with pharmacological studies from PubMed and Lilacs. A total of 238 species were recorded and 117 different traditional uses were registered for the plants. The most common uses were to treat general skin diseases and intermittent fevers, as purgative, diuretics and andidiarrheal. From the total, only 61 species (25.6%) have been to date subject to pharmacological studies and had their activities confirmed. Chernoviz books represent an important source of data about plants used in traditional medicine of Brazil. Their records were collected at a time when Brazil's native vegetation was still largely intact, and traditional medicine was practiced based on native plants. We argue that these plants must be prioritized in development of medicines, submitting them to clinical studies or by considering their traditionality, as established by WHO. Strategies for the protection of the traditional knowledge are also necessary.

British Medical Association Complete Home Medical Guide (fourth edition)

British Medical Association Complete Home Medical Guide (fourth edition)

First Aid with Homeopathy. The Ultimate Medical Guide for Travelers and Athletes, also Covering Work-Related Accidents and Major Disasters

First Aid with Homeopathy. The Ultimate Medical Guide for Travelers and Athletes, also Covering Work-Related Accidents and Major Disasters

Health information: print materials assessment in public libraries

Purpose The purpose this study was to determine currency of print health materials readily available in North Carolina public libraries, through a statewide assessment. Two subject areas were examined: health reference and diabetes. Design/methodology/approach In total, 30 randomly selected public libraries were visited and unobtrusive stacks assessments were completed. Some months later, the libraries’ websites were examined for collection development policies, and online catalogs were searched using the keyword diabetes to identify possible discrepancies and additions. Findings For visits, publication dates for reference books ranged from 1899-2014 and the average number of holdings was 10 (range 0-30). The most common reference item, the AMA Family Medical Guide (2005), was available in 6 of 30 libraries. In diabetes collections, publication dates ranged from 1983-2013; the average number of books was nine (range 0-26). The Atkins Diabetes Revolution (2004) was the most common, available in 9 of 30 libraries. Two-thirds of libraries did not have a collection development policy online. Catalog searches revealed 10 titles prior to 1983 and 18 titles (non-cook books) from 2014-2016. Practical implications The study found overall that print health reference books were outdated. In diabetes collections, there were also many outdated items. It appears that regular weeding to assure currency of print health literature is not taking place. Originality/value The study demonstrates that public libraries may not be providing optimal print health information. With unprecedented access, it is imperative that librarians in all types of settings aid in health literacy promotion by assuring access to reliable and timely health information.

Practical Medical Guide for Wrestling Competitions: Local, Regional or Youth Competitions

ABSTRACTHealth regulations regarding wrestling competitions are strictly defined and described by the International Federation of Associated Wrestling Styles. There are well prepared medical instructors, doctors and health providers both for the FILA (International Federation of Associated Wrestling Styles) and for the National Federations present at adult international competitions. However, many competitions for younger ages or those held by local authorities supported by national federations are supervised by local medical doctors or ambulatory services inexperienced in wrestling. Every country has its own regulation for sport competitions but we lack a general practical guide for physicians or health care providers that could help these professionals to become familiar with wrestling.

The Medical Library Association's Master Guide to Authoritative Information Resources in the Health Sciences

The Medical Library Association's Master Guide to Authoritative Information Resources in the Health Sciences

The Medical Library Association's Master Guide to Authoritative Information Resources in the Health Sciences

The Medical Library Association's Master Guide to Authoritative Information Resources in the Health Sciences